Active NPI
Fritzi A Perez, DMD
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1467512251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39998
- Practice address
- 9750 Miramar Rd
Suite #160
San Diego, CA 92126-4560 - Phone
- (858) 586-9195
- Fax
- (858) 586-9198
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39998 | CA | Primary |
Addresses
Primary practice location
9750 Miramar Rd
Suite #160
San Diego, CA 92126-4560
Mailing address
PO Box 262465
San Diego, CA 92196-2465
Phone (858) 586-9195
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3999801 | Medicaid | CA | |
| 796360 | Other | CA | UNITED CONCORDIA |
Other names 1
- Fritzi A Perez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39998 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fritzi a Perez-Myers, DMD, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- San Diego, CA
- NPI 1841538303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1467512251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 262465",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921962465",
"telephone_number": "858-586-9195",
"fax_number": "585-586-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 MIRAMAR RD",
"address_2": "SUITE #160",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264560",
"telephone_number": "858-586-9195",
"fax_number": "858-586-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "FRITZI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "39998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B3999801",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "796360",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRITZI",
"last_name": "PEREZ",
"middle_name": "A",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.